`G6021` Unlisted px small intestine

Unlisted procedure, intestine

Medicare coverage: Carrier judgment
Status: terminated 20151231

Payer policies and prior authorization for G6021

Payer coverage policies that name G6021

G6021 appears in 1 coverage policy from Blue Cross & Blue Shield of Mississippi.

Payer	Policy	Role in policy	Reviewed	Document
Blue Cross & Blue Shield of Mississippi	Chromoendoscopy As An Adjunct To Colonoscopy	unproven / investigational		payer document

Medicaid fee-for-service

WY: $0.00 (professional), effective Jan 1, 2016

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

G6021 Unlisted px small intestine

Payer policies and prior authorization for G6021

Payer coverage policies that name G6021

Medicaid fee-for-service

`G6021` Unlisted px small intestine